摘要
目的:观察大承气汤加味治疗急性重症胰腺炎(SAP)的治疗效果。方法:将90例SAP患者按完全随机法分成大承气汤加味组47例,对照组43例,对照组给予禁食、胃肠减压、应用抑制胰腺外分泌及抑制胰酶活性制剂、广谱抗生素和支持对症处理等常规治疗,大承气汤加味组在常规治疗的基础上加用大承气汤加味治疗。观察两组患者的胃肠减压、血淀粉酶恢复正常和住院时间、并发症发生率及病死率。结果:大承气汤加味组患者在胃肠减压、血淀粉酶恢复正常和住院时间方面均短于对照组(P<0.05或<0.01)。结论:SAP患者在进行常规治疗的同时应用大承气汤加味可改善肠道功能,缩短病程,减少并发症发生率,改善患者的预后。
Objective： To investigate the effect of Dachengqi decoction treatment for patients of severe acute pancreatitis（SAP）. Methods： 90 cases of SAP were randomly divided into treatment group （n = 47） and control group （n = 43）. Conventional treatment were administrated to control group, while Dachengqi decoction were added to treatment group. The days of gastrointestinal decompression, hyperamylasemia, average days of hospitalization, complication and mortality was compared. Results： The days of gastrointestinal decompression, hyperamylasemia , average days of hospitalization, complication and mortality in treatment group were lower than those in control group（P〈0. 05or〈0. 01）. Conclusion.. Based on conventional therapy, Dachengqi decoction could improve gastrointestinal of SAP, shorten course of disease, reduce the occurrence of complication and improve the prognosis.
出处
《医学理论与实践》
2010年第2期135-136,143,共3页
The Journal of Medical Theory and Practice
